• Care Home
  • Care home

Mansfield

Overall: Good read more about inspection ratings

11 Lindhurst Lane, Mansfield, Nottinghamshire, NG18 4JE (01623) 424833

Provided and run by:
Heathcotes Care Limited

Latest inspection summary

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Background to this inspection

Updated 9 February 2019

The inspection

We carried out this inspection under Section 60 of the Health and Social Care Act 2008 as part of our regulatory functions. This inspection checked whether the provider is meeting the legal requirements and regulations associated with the Health and Social Care Act 2008, to look at the overall quality of the service, and to provide a rating for the service under the Care Act 2014.

Inspection team

Our inspection was completed by two adult social care inspectors and an expert-by-experience. An expert by experience is a person who has personal experience of using or caring for someone who uses this type of care service.

Service and service type

Heathcotes (Mansfield) is a 'care home'. People in care homes receive accommodation and nursing or personal care as single package under one contractual agreement. CQC regulates both the premises and the care provided, and both were looked at during this inspection.

The care service has been developed and designed in line with the values that underpin the "Registering the Right Support" and other best practice guidance. These values include choice, promotion of independence and inclusion. People with learning disabilities and autism using the service can live as ordinary a life as any citizen.

The service had a manager registered with the Care Quality Commission. This means that they and the provider are legally responsible for how the service is run and for the quality and safety of the care provided.

Notice of inspection

This comprehensive inspection was unannounced.

What we did:

To assist us in the planning of the inspection, we used information the provider sent us in the Provider Information Return(PIR). This is information we require providers to send us at least once annually to give some key information about the service, what the service does well and improvements they plan to make. We also reviewed information that we held about the service such as notifications. These are events that happen in the service that the provider is required to tell us about. We sought the views of the local authority and health commissioning teams, and Healthwatch Nottinghamshire, who are an independent organisation that represents people using health and social care services. Commissioners are people who work to find appropriate care and support services which are paid for by the local authority or by a health clinical commissioning group.

During the inspection, we spoke with three people who used the service. After the inspection site visit, we contacted relatives of people who used the service for their views and received feedback from four relatives.

We spoke with the registered manager, the regional manager, a team leader and three support workers. We looked at the care records of three people who used the service. We checked that the care they received matched the information in their records. We also looked at a range of information to consider how the service ensured the quality of the service; these included the management of medicines, staff training records, staff recruitment and support, audits and checks on the safety of the environment, policies and procedures, complaints and meeting records. After the inspection the registered manager sent us further information within the time scale allowed in relation to, the provider’s quality checks and audit process and training records. We have reviewed these as part of the inspection process.

Overall inspection

Good

Updated 9 February 2019

About the service:

Heathcotes (Mansfield) is residential care home and provides accommodation and personal care for up to five people living with mental health, a learning disability and or autistic spectrum needs.

People’s experience of using this service:

Incidents were acted upon and recorded, but the registered manager could improve the way in which incidents and low-level behaviours, were reviewed and how lessons were learnt. This included a more detailed analysis of behaviours such as themes and patterns to improve understanding and outcomes.

We have made a recommendation about the management of incidents.

Body maps were used to record any injuries a person sustained through accidents or incidents, but the monitoring of injuries was not recorded to confirm what action had taken place. This was discussed with the registered manager and established was a recording issue.

Staff had guidance on managing people’s behaviours that was detailed, but information was repetitive in places meaning information was not easy to follow. People told us they felt safe living at Heathcotes (Mansfield) and staff had received safeguarding training and had policies and procedures to support their practice in keeping people safe.

People received the right level of support to meet their individual needs. Medicines were managed in accordance with national best practice guidance and people received reviews of their prescribed medicines. The prevention and control measures of infections were understood by staff and the service was found to be clean.

People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible; the policies and systems in the service support this practice.

People were involved in menu planning, food shopping and meal preparation as much as possible and healthy eating was encouraged. People’s healthcare needs and wellbeing had been assessed and was monitored, referrals had been made to external healthcare professionals when required.

Staff received an induction on commencement of their employment and ongoing training, and opportunities to discuss their work and development needs.

Support plans had been developed with people and were regularly reviewed with the person and or their relative or representative. Information supported staff to understand what was important to people, including diverse and cultural or religious needs.

People had access to the provider’s complaint procedure and they were encouraged through one to one meetings, to talk about any concerns or complaints. Discussions and plans had been had with people about end of life wishes.

Staff felt supported by the registered manager and partnerships had been developed with a range of health and social care professionals. Quality assurance processes were in place to help identify good practice and areas for improvement.

More information is in the full report

Rating at last inspection:

Good (report published 29 April 2016)

Why we inspected:

This was a planned inspection based on the rating at the last inspection. The service remained rated Good overall.

Follow up:

We will continue to monitor intelligence we receive about the service until we return to visit as per our re-inspection programme. If any concerning information is received we may inspect sooner.